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Note 2 - Net Patient Revenues (Tables)
 12 Months Ended
Dec. 31, 2018
Notes Tables  
Disaggregation of Revenue [Table Text Block]
   
Year Ended December 31,
  
(in thousands)
  
2018
    
2017
    
2016
  
Inpatient services
   $
872,912
     $
853,662
     $
814,010
  
Homecare services
    
59,862
      
63,080
      
63,656
  
Total net patient revenue
   $
932,774
     $
916,742
     $
877,666
  
   
Year Ended December 31,
  
Source
  
2018
    
2017
    
2016
  
Medicare
    
35
 %    
35
 %    
37
 %
Managed Care
    
12
 %    
13
 %    
12
 %
Medicaid
    
26
 %    
26
 %    
26
 %
Private Pay and Other
    
27
 %    
26
 %    
25
 %
Total
    
100
 %    
100
 %    
100
 %